Inadequate Weight Gain According to the Institute of Medicine 2009 Guidelines in Women with Gestational Diabetes: Frequency, Clinical Predictors, and the Association with Pregnancy Outcomes
Background: In the care of women with gestational diabetes mellitus (GDM), more attention is put on glycemic control than in factors such as gestational weight gain (GWG). We aimed to evaluate the rate of inadequate GWG in women with GDM, its clinical predictors and the association with pregnancy ou...
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Published in | Journal of clinical medicine Vol. 9; no. 10; p. 3343 |
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Abstract | Background: In the care of women with gestational diabetes mellitus (GDM), more attention is put on glycemic control than in factors such as gestational weight gain (GWG). We aimed to evaluate the rate of inadequate GWG in women with GDM, its clinical predictors and the association with pregnancy outcomes. Methods: Cohort retrospective analysis. Outcome variables: GWG according to Institute of Medicine 2009 and 18 pregnancy outcomes. Clinical characteristics were considered both as GWG predictors and as covariates in outcome prediction. Statistics: descriptive, multinomial and logistic regression. Results: We assessed 2842 women diagnosed with GDM in the 1985–2011 period. GWG was insufficient (iGWG) in 50.3%, adequate in 31.6% and excessive (eGWG) in 18.1%; length of follow-up for GDM was positively associated with iGWG. Overall pregnancy outcomes were satisfactory. GWG was associated with pregnancy-induced hypertension, preeclampsia, cesarean delivery and birthweight-related outcomes. Essentially, the direction of the association was towards a higher risk with eGWG and lower risk with iGWG (i.e., with Cesarean delivery and excessive growth). Conclusions: In this cohort of women with GDM, inadequate GWG was very common at the expense of iGWG. The associations with pregnancy outcomes were mainly towards a higher risk with eGWG and lower risk with iGWG. |
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AbstractList | Background: In the care of women with gestational diabetes mellitus (GDM), more attention is put on glycemic control than in factors such as gestational weight gain (GWG). We aimed to evaluate the rate of inadequate GWG in women with GDM, its clinical predictors and the association with pregnancy outcomes. Methods: Cohort retrospective analysis. Outcome variables: GWG according to Institute of Medicine 2009 and 18 pregnancy outcomes. Clinical characteristics were considered both as GWG predictors and as covariates in outcome prediction. Statistics: descriptive, multinomial and logistic regression. Results: We assessed 2842 women diagnosed with GDM in the 1985–2011 period. GWG was insufficient (iGWG) in 50.3%, adequate in 31.6% and excessive (eGWG) in 18.1%; length of follow-up for GDM was positively associated with iGWG. Overall pregnancy outcomes were satisfactory. GWG was associated with pregnancy-induced hypertension, preeclampsia, cesarean delivery and birthweight-related outcomes. Essentially, the direction of the association was towards a higher risk with eGWG and lower risk with iGWG (i.e., with Cesarean delivery and excessive growth). Conclusions: In this cohort of women with GDM, inadequate GWG was very common at the expense of iGWG. The associations with pregnancy outcomes were mainly towards a higher risk with eGWG and lower risk with iGWG. BACKGROUNDIn the care of women with gestational diabetes mellitus (GDM), more attention is put on glycemic control than in factors such as gestational weight gain (GWG). We aimed to evaluate the rate of inadequate GWG in women with GDM, its clinical predictors and the association with pregnancy outcomes. METHODSCohort retrospective analysis. OUTCOME VARIABLESGWG according to Institute of Medicine 2009 and 18 pregnancy outcomes. Clinical characteristics were considered both as GWG predictors and as covariates in outcome prediction. STATISTICSdescriptive, multinomial and logistic regression. RESULTSWe assessed 2842 women diagnosed with GDM in the 1985-2011 period. GWG was insufficient (iGWG) in 50.3%, adequate in 31.6% and excessive (eGWG) in 18.1%; length of follow-up for GDM was positively associated with iGWG. Overall pregnancy outcomes were satisfactory. GWG was associated with pregnancy-induced hypertension, preeclampsia, cesarean delivery and birthweight-related outcomes. Essentially, the direction of the association was towards a higher risk with eGWG and lower risk with iGWG (i.e., with Cesarean delivery and excessive growth). CONCLUSIONSIn this cohort of women with GDM, inadequate GWG was very common at the expense of iGWG. The associations with pregnancy outcomes were mainly towards a higher risk with eGWG and lower risk with iGWG. |
Author | Corcoy, Rosa Pujol, Isabel Martínez, María José García-Patterson, Apolonia Adelantado, Juan M Ginovart, Gemma Liu, Jiaming López, Alicia Xie, Xinglei |
AuthorAffiliation | 2 Servei d’Endocrinologia i Nutrició, Hospital de la Santa Creu i Sant Pau, 08041 Barcelona, Spain; ipujol@santpau.cat (I.P.); alopezar@santpau.cat (A.L.); mmartinezr@santpau.cat (M.J.M.) 5 Servei de Pediatria, Hospital de la Santa Creu i Sant Pau, 08041 Barcelona, Spain; gginovart.germanstrias@gencat.cat 1 Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, 08193 Barcelona, Spain; xxienglei@santpau.cat (X.X.); ljiaming@santpau.cat (J.L.) 3 Institut de Recerca, Hospital de la Santa Creu i Sant Pau, 08041 Barcelona, Spain; 31178agp@comb.cat 4 Servei de Ginecologia i Obstetricia, Hospital de la Santa Creu i Sant Pau, 08041 Barcelona, Spain; adelantadojm@gmail.com 6 CIBER-BBN, 28029 Madrid, Spain |
AuthorAffiliation_xml | – name: 1 Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, 08193 Barcelona, Spain; xxienglei@santpau.cat (X.X.); ljiaming@santpau.cat (J.L.) – name: 3 Institut de Recerca, Hospital de la Santa Creu i Sant Pau, 08041 Barcelona, Spain; 31178agp@comb.cat – name: 5 Servei de Pediatria, Hospital de la Santa Creu i Sant Pau, 08041 Barcelona, Spain; gginovart.germanstrias@gencat.cat – name: 6 CIBER-BBN, 28029 Madrid, Spain – name: 4 Servei de Ginecologia i Obstetricia, Hospital de la Santa Creu i Sant Pau, 08041 Barcelona, Spain; adelantadojm@gmail.com – name: 2 Servei d’Endocrinologia i Nutrició, Hospital de la Santa Creu i Sant Pau, 08041 Barcelona, Spain; ipujol@santpau.cat (I.P.); alopezar@santpau.cat (A.L.); mmartinezr@santpau.cat (M.J.M.) |
Author_xml | – sequence: 1 givenname: Xinglei orcidid: 0000-0002-2108-6662 surname: Xie fullname: Xie, Xinglei – sequence: 2 givenname: Jiaming orcidid: 0000-0003-0714-2207 surname: Liu fullname: Liu, Jiaming – sequence: 3 givenname: Isabel surname: Pujol fullname: Pujol, Isabel – sequence: 4 givenname: Alicia surname: López fullname: López, Alicia – sequence: 5 givenname: María José surname: Martínez fullname: Martínez, María José – sequence: 6 givenname: Apolonia surname: García-Patterson fullname: García-Patterson, Apolonia – sequence: 7 givenname: Juan M. surname: Adelantado fullname: Adelantado, Juan M. – sequence: 8 givenname: Gemma surname: Ginovart fullname: Ginovart, Gemma – sequence: 9 givenname: Rosa orcidid: 0000-0001-5055-6814 surname: Corcoy fullname: Corcoy, Rosa |
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Snippet | Background: In the care of women with gestational diabetes mellitus (GDM), more attention is put on glycemic control than in factors such as gestational weight... BACKGROUNDIn the care of women with gestational diabetes mellitus (GDM), more attention is put on glycemic control than in factors such as gestational weight... |
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SubjectTerms | Birth weight Body mass index Cesarean section Clinical medicine Ethnicity Gestational age Gestational diabetes gestational diabetes mellitus Glucose Hypertension Institute of Medicine length of follow-up Obstetrics Overweight Preeclampsia Pregnancy pregnancy outcome Premature birth Regression analysis Variables weight gain White people |
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Title | Inadequate Weight Gain According to the Institute of Medicine 2009 Guidelines in Women with Gestational Diabetes: Frequency, Clinical Predictors, and the Association with Pregnancy Outcomes |
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